AI Article Synopsis

  • Acute pulmonary embolism can be a dangerous complication during surgery, requiring quick action to stabilize blood flow in the lungs.
  • Treatment for this condition often comes with risks, particularly bleeding.
  • In a reported case, a patient experienced cardiac arrest due to an embolism during orthopedic surgery, but was successfully treated with thrombolysis, allowing for recovery without lasting neurological damage.

Article Abstract

Acute pulmonary embolism is a serious perioperative complication. Current guidelines focus on hemodynamic stabilization and rapid restoration of pulmonary artery blood flow. However, various complications, most notably bleeding, are associated with treatment of the embolism. We report a case of acute pulmonary embolism with cardiopulmonary arrest during orthopedic surgery. Prompt thrombolysis and gaining control of both thrombolytic therapy-induced bleeding from the wound and a hepatic cyst enabled the patient to recover without neurological deficits.

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Source
http://dx.doi.org/10.1213/XAA.0000000000001549DOI Listing

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